ABSTRACT
BACKGROUND: Allergic rhinitis (AR) is a significant issue in children. Treatment options include allergen avoidance, pharmacotherapy and immunotherapy. The use of nasal saline douching (NSD) in children has recently gained acceptability. However, there is limited data regarding the acceptability and tolerability of NSD in children with AR. METHODS: A search was conducted using Medline and Embase databases from January 1946 until June 2015 on the use of NSD in children aged 4-12 years with AR. All publications identified that assessed the beneficial effects, acceptability and tolerability were included. RESULTS: 40 studies were analyzed. Data varied considerably in terms of saline solutions used, modality of application, participant numbers, study design, follow up and outcomes. Factors that appear to influence the acceptability and tolerability of NSD include parental and health professionals' preconceptions, and characteristics of the solution. CONCLUSIONS: Nasal saline douching appears to be effective, being accepted and tolerated in the majority of children (78-100%). NSD has a significant positive impact on the quality of life in children with allergic rhinitis. When used as an adjunctive treatment having mainly a cleansing property, NSD potentiates the effects and may reduce the dose required of AR medications. Among the principal factors that influence the acceptability and tolerability of NSD are the child's age, delivery system and method, and tonicity. Nasal saline douching provides an accessible, low cost, low morbidity, easy to use treatment in children with allergic rhinitis.
Subject(s)
Nasal Lavage/methods , Patient Acceptance of Health Care/statistics & numerical data , Rhinitis, Allergic/therapy , Sodium Chloride/therapeutic use , Allergens , Child , Child, Preschool , Female , Humans , Male , Nasal Lavage/adverse effects , Quality of Life , Sodium Chloride/adverse effectsABSTRACT
En el mundo médico, las decisiones del personal de Unidad de Cuidado Intensivo (UCI), Influyen tanto de manera positiva como negativa en el entorno de un paciente y su familia. El personal de salud que está vinculado al cuidado del paciente en UCI, debe ser capaz de resolver y tomar decisiones que son trascendentales para el futuro de una persona que se encuentra entre la vida y la muerte. A pesar de esta obligación moral y profesional, no existe un consenso ampliamente conocido para la toma de decisiones, que facilite al personal afrontar la situación de un paciente en estado crítico. Razón por la cual la educación universitaria en bioética es de vital Importancia, para la formación de profesionales competentes, libre pensadores con responsabilidad social, que actúen como defensores y promotores de la vida.
In the medical world, decisions of staff of Intensive Care Unit, both in a positive and negative way, may affect the patient's environment and family. The health team in charge of the patient care in critical condition should be, able to make decisions important for the future of someone who is between life and death. Despite this moral and professional duty, there is no consensus widely known for decision-making, to provide the staff means to deal this situation, a patient in critical condition. For that reason bioethics education performs vital importance for the training of competent professionals, thinkers open to social responsibility, acting as defenders and promoters of life.
